BiblioVault - Books about Hospital

The City and the Hospital

The Paradox of Medically Overserved Communities

Daniel Skinner, Jonathan R. Wynn, and Berkeley Franz

University of Chicago Press, 2023

A surprising look at how hospitals affect and are affected by their surrounding communities.

An enduring paradox of urban public health is that many communities around hospitals are economically distressed and, counterintuitively, medically underserved. In The City and the Hospital two sociologists, Jonathan R. Wynn and Berkeley Franz, and a political scientist, Daniel Skinner, track the multiple causes of this problem and offer policy solutions.

Focusing on three urban hospitals—Connecticut’s Hartford Hospital, the flagship of the Hartford Healthcare system; the Cleveland Clinic, which coordinates with other providers for routine care while its main campus provides specialty care; and the University of Colorado Hospital, a rare example of an urban institution that relocated to a new community—the authors analyze the complicated relationship between a hospital and its neighborhoods. On the one hand, hospitals anchor the communities that surround them, often staying in a neighborhood for decades. Hospitals also craft strategies to engage with the surrounding community, many of those focused on buying locally and hiring staff from their surrounding area. On the other hand, hospitals will often only provide care to the neighboring community through emergency departments, reserving advanced medical care and long-term treatment for those who can pay a premium for it. In addition, the authors show, hospitals frequently buy neighborhood real estate and advocate for development programs that drive gentrification and displacement.

To understand how urban healthcare institutions work with their communities, the authors address power, history, race, and urbanity as much as the workings of the medical industry. These varied initiatives and effects mean that understanding urban hospitals requires seeing them in a new light—not only as medical centers but as complicated urban forces.

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Clara Barton's Civil War

Between Bullet and Hospital

Donald C. Pfanz

Westholme Publishing, 2018

Through Battle Dispatches, Letters, and Other Records, Discovering the Wartime Service of America’s Most Famous Nurse
“I always tried to succor the wounded until medical aid and supplies could come up—I could run the risk; it made no difference to anyone if I were shot or taken prisoner.” So recorded Clara Barton, the most famous woman to emerge from the American Civil War. In an age when few women worked in hospitals, much less at the front, Barton served in at least four Union armies, providing food and assistance to wounded soldiers on battlefields stretching from Maryland to South Carolina. Thousands of soldiers benefited from her actions, and she is unquestionably an American heroine. But how much do we really know about her actual wartime service? Most information about Barton’s activities comes from Barton herself. After the war, she toured the country recounting her wartime experiences to overflowing audiences. In vivid language, she described crossing the Rappahannock River under fire to succor wounded Union soldiers at Fredericksburg, transporting critical supplies to field hospitals at Antietam, and enduring searing heat and brackish water on the sunscorched beaches of South Carolina. She willingly braved hardship and danger in order to help the young men under her care, receiving in return their love and respect. Most of Barton’s biographers have accepted her statements at face value, but in doing so, they stand on shaky ground, for Barton was a relentless selfpromoter and often embellished her stories in an effort to enhance her accomplishments.
In Clara Barton’s Civil War: Between Bullet and Hospital, distinguished historian Donald Pfanz revisits Barton’s claims, comparing the information in her speeches with contemporary documents, including Barton’s own wartime diary and letters. In doing so, he provides the first balanced and accurate account of her wartime service—a service that in the end needed no exaggeration.

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For the Sake of the Children

The Social Organization of Responsibility in the Hospital and the Home

Carol A. Heimer and Lisa R. Staffen

University of Chicago Press, 1998

For the Sake of the Children examines the social organization of responsibility by asking who takes responsibility for critically ill newborns. Drawing on medical records and interviews with parents and medical staff, the authors take us into two neonatal intensive care units, showing us the traumas of extreme medical measures and the sufferings of infants. The accounts are by turns heroic and disturbing as we see people trying to take charge of these infants' care, thinking about long-term plans, redefining their roles as adults and parents, and coping with sometimes awful contingencies.

Rather than treating responsibility as an ethical issue, the authors focus on how responsibility is socially produced and sustained. The authors ask: How do staff members encourage parents to take responsibility, but keep them from interfering in medical matters, and how do parents encourage staff vigilance when they are novices attempting to supervise the experts?

The authors conclude that it is not sufficient simply to be responsible individuals. Instead, we must learn how to be responsible in an organizational world, and organizations must learn how to support responsible individuals.

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From Monastery to Hospital

Christian Monasticism and the Transformation of Health Care in Late Antiquity

Andrew T. Crislip

University of Michigan Press, 2005

From Monastery to Hospital traces the origin of the late Roman hospital to the earliest groups of Christian monastics. Often characterized as holy men and miracle-workers who transformed late antique spirituality, monks held an equally significant impact on the development of medicine in Late Antiquity. Andrew Crislip illuminates the innovative approaches to health care within the earliest monasteries that provided the model for the greatest medical achievement of Late Antiquity: the hospital.

From Monastery to Hospital draws on some of the most vibrant areas of scholarship of the ancient world, including asceticism, the study of the body, history of the family, and the history of medicine. The book will be of interest to scholars and students of early Christianity, Roman History, the history of medicine, and Catholic, Coptic, and Eastern Orthodox history and theology. It will also be of interest to the broader field of history of Christianity, especially with its connections to charitable traditions in the church through the modern period.

Andrew Crislip is Assistant Professor of Religion at the University of Hawaii.

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Hospital

Sanya Rushdi

Seagull Books, 2023

A strong and courageous novel that deftly tackles psychosis.

In Melbourne, Australia, a woman in her late thirties is diagnosed with her third episode of psychosis, amounting to schizophrenia. What follows is a frenzied journey from home to a community house to a hospital and out again. Sanya, the protagonist, finds herself questioning the diagnosis of her sanity or insanity, as determined and defined by a medical model which seems less than convincing to her. Having studied psychology herself, she wonders whether, even if the diagnosis is correct to some extent, the treatment should be different. Sanya tells her story in a deceptively calm, first-person voice, using conversations as the primary narrative mode, as she ponders if and when the next psychotic episode will materialize.

Based on real-life events and originally written in Bengali, Hospital is a daring first novel that unflinchingly depicts the precarity of a woman living with psychosis and her struggles with the definition of sanity in our society.

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Prescription TV

Therapeutic Discourse in the Hospital and at Home

Joy V. Fuqua

Duke University Press, 2012

Tracing the history of television as a therapeutic device, Joy V. Fuqua describes how TVs came to make hospitals seem more like home and, later, "medicalized" the modern home. She examines the introduction of television into the private hospital room in the late 1940s and 1950s and then moves forward several decades to consider the direct-to-consumer prescription drug commercials legalized in 1997. Fuqua explains how, as hospital administrators and designers sought ways of making the hospital a more inviting, personalized space, TV sets came to figure in the architecture and layout of health care facilities. Television manufacturers seized on the idea of therapeutic TV, specifying in their promotional materials how TVs should be used in the hospital and positioned in relation to the viewer. With the debut of direct-to-consumer prescription drug advertising in the late 1990s, television assumed a much larger role in the medical marketplace. Taking a case-study approach, Fuqua uses her analysis of an ad campaign promoting Pfizer's Viagra to illustrate how television, and later the Internet, turned the modern home into a clearinghouse for medical information, redefined and redistributed medical expertise and authority, and, in the process, created the contemporary consumer-patient.

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Theatre for Children in Hospital

The Gift of Compassion

Persephone Sextou

Intellect Books, 2016

Recent decades have seen a new appreciation develop for applied theater and the role of arts-based activities in health care. This book looks specifically at the place of theater for children who are hospitalized, showing how powerfully it can enhance their social and mental well-being. Child-led performances, for example, can be used as a technique to distract young patients from hospitalization, prepare them for painful procedures, and teach them calming techniques to control their own pre- or post-operative stress. Persephone Sextou details the key theoretical contexts and practical features of theater for children, in the process offering motivation, guidance, and inspiration for practitioners who want to incorporate performance into their treatment regimen.

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